Cavus Foot

Cavus foot is treated by the experts in our Foot and Ankle Deformities Program.

• The compassionate experts you need are here

  To restore or improve your child’s health, function and quality of life, we often use nonsurgical methods (like medicines, physical therapy and braces), recommending surgery only when we believe it will give your child the best results.

  Many of our pediatric orthopedic surgeons have expanded fellowship training in areas such as foot and ankle conditions, sports medicine, tumors, upper extremity surgery, limb deformity, neuromuscular diseases, skeletal dysplasia and spine problems.

  We have the largest group of board-certified pediatric radiologists in the Northwest. Our radiologists have special expertise using ultrasound to look for bone and joint changes so we can work with your child to help prevent future problems. If your child needs imaging that uses radiation, we use the lowest amount possible to produce the best image. We also have a 3D low-dose radiation X-ray machine, called the EOS, for safer full-body 3D images.

• Research to improve care

  Funded in part by the Lynn Taylor Staheli Endowed Chair in Pediatric Orthopedics, our growing research program is discovering better ways to diagnose and care for children.

  Outcomes research helps us know which treatments produce the best results for children. For example, we use tools to ask patients about their function after surgery for limb deformities. Asking children about their experience is essential to improving their lives.

  We participate in several registries (databases that collect information about patients who volunteer) so we can collaborate with doctors around the country and the world to better understand orthopedic conditions, such as hand, arm, foot and leg differences.

First, we ask your child to stand while we examine their feet for signs of cavus foot. Because cavus foot tends to run in families, we often ask to examine the feet of parents and other family members, too. We also check:

• The strength of your child’s legs, ankles, feet and toes since cavus foot often comes along with diseases that make muscles weak
• Your child’s spine to make sure it is flexible and the right shape
• Your child’s reflexes in the legs and belly (abdomen)

We will ask whether your child has had any problems controlling bowel movements or bladder. Finally, we will take radiographs of your child’s back and feet.

Once we know that your child has cavus foot, we will begin to look for the cause of the problem. At Seattle Children’s, our orthopedic doctors work closely with our neurologists to find the right answer.

• Diagnostic tests

  Your child may need to have several tests to find the cause of cavus foot, including: 

  • Electromyogram and nerve conduction velocity (EMG/NCV) studies
  • Blood test for Charcot-Marie-Tooth disease (CMT)
  • MRI (magnetic resonance imaging) of the spine and brain

Our orthopedic surgeons work closely with neurologists to find the cause of your child’s cavus foot. Then we consult with specialists at Seattle Children’s to treat any underlying disease that is causing the condition.

In some cases, as with Charcot-Marie-Tooth disease, there is no treatment for the underlying nerve or muscle problem.

Once we have addressed the underlying problem, we talk with you and find the best treatment for your child’s cavus foot. In most cases, the best treatment is surgery.

In the very early stages of cavus foot, or with mild cases that are not getting worse, we may be able to use arch supports and shoe modifications to help relieve problems until surgery becomes necessary.

• Treatment designed for growing bodies

  Infants, children and teens are still developing, so they may need different care than adults do, like treatment that takes their growth plates into account. At Seattle Children’s, your child’s team has special training in the medical, surgical, emotional and social needs of young people.

  We see your child as a whole person. For example, in our Foot and Ankle Deformities Program, we look not only at your child’s feet and ankles, but also their legs, spine, strength, movement, nerves and other features that might play a role in their condition.

• Surgery for cavus foot

  Surgery for cavus foot is complex. It often requires 2 operations performed 2 weeks apart. In the first operation, the doctor cuts and releases the tightest of the soft tissues in the arch. The rest of the tissues relax during the following 2 weeks.

  In the second operation, the doctor cuts and reshapes at least 1 bone using a bone graft and moves several tendons to new locations on the foot to improve muscle balance.

  When we perform reconstruction surgery for cavus foot, our main concerns are to: 

  • Correct the problems without joining together any joints (fusion)
  • Balance out the muscles so that the problem is less likely to happen again